Registration for K-12 STEM Educators Conference Saturday, September 28, 2024,  9:00am-2:30pm on the Mercy University Westchester campus in Dobbs Ferry, NY
Please fill out the form below.
Sign in to Google to save your progress. Learn more
Email *
Last Name *
First Name *
Affiliation *
If you are a Wipro Fellow bringing a guest for the Wipro Reimagined Info Session, please indicate their name below (the guest must register separately)
If Mercy alumni, please indicate which year you graduated.
Grade Level You Teach *
Required
School District
School Name
Would you like 5 NYS CTLE hours?  (Additional cost of $30 which you can choose on the payment site) *
Please visit www.mercy.edu/testprep to pay the $25 registration fee (includes lunch), *
Required
Please be advised that we may record your likeness and voice on a video, audio, photographic, digital, electronic, or any other medium during this conference for social media and marketing purposes *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report